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The Impact of Sex and Age on Antipsychotic Serum Concentrations - PubMed

4 hours ago
  • #therapeutic drug monitoring
  • #antipsychotic medication
  • #menopause
  • The study explores sex differences in serum concentrations of four antipsychotics: clozapine, olanzapine, aripiprazole, and quetiapine, and how these vary across age groups, including postmenopause (>55).
  • Higher concentrations were found in women compared to men for clozapine and olanzapine, but not for quetiapine or aripiprazole.
  • Young women (<45) showed higher levels of clozapine and olanzapine than men, but older women did not.
  • Clozapine levels were higher in women <45 and 45-55 compared to women >55 years.
  • For olanzapine, aripiprazole, and quetiapine, concentration differences between female age groups were absent.
  • The findings suggest that monitoring antipsychotic levels may add clinical value and highlight the need for sex-specific prescription guidelines for olanzapine and clozapine.